Heartland Rodeo Association

Heartland Rodeo Association

Membership form
Membership - New or Returning
Membership Type
Send etransfer to hrasecretary@hotmail.com
Member Name (Parent)

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Family Member #2

First NameLast Name
Family Member #3

First NameLast Name
Family Member #4

First NameLast Name
Family Member #5

First NameLast Name
If member is 16 and under as of January 1st, please upload Birth Certificate

Cancelof
Address

Street Address

Street Address Line 2

CityProvince

Postal / Zip Code
E-mail
example@example.com
Cell Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
How would you like to receive your winnings?
Events that you may enter
Tell us a bit about your self - Home town, events, how long have you been riding, competing, your horse, your family, etc.
WAIVER It is hereby agreed that if the Heartland Rodeo Association (HRA) grants a membership, the undersigned will accept full responsibility for release and save harmless the HRA, all producers and committees from losses, injuries and damage that the applicant may cause to other persons or property while participating at or in any rodeo approved by the HRA. Applicants signature - please sign below
Send etransfer to hrasecretary@hotmail.com
Survey Question:
If the members agree, Heartland Rodeo Association would like to move to a flat fee of $32 for Juniors and $42 for Seniors. This would allow us to simplify the entry fee process by not having to calculate the admin fees separately. ** The membership fees are part of the constitution which means that this would typically be addressed at the Annual General Meeting - we would like to give the members the option for this year if possible. Thank you for taking the time to vote.
Should be Empty:

Heartland Rodeo Association

Survey Question: